Introduction: During the postpartum period, women experience numerous physiological, psychological, and sociological changes. Elite female athletes face many challenges during this time. Their postpartum recovery involves balancing physical healing, motherhood, and a gradual return to elite sport. Despite the increasing number of athletes choosing motherhood during their active careers, systemic solutions and support guidelines remain insufficient. Purpose: The purpose of this diploma thesis is to identify the challenges and specific considerations faced by women in elite sports after childbirth, and to explore their journey back to elite competition. Additionally, we aim to determine the role of healthcare professionals in the postpartum period for elite female athletes. Methods: A descriptive method was employed, involving an analysis of Slovenian and international professional literature published in English between 2015 and 2025. Literature searches were conducted using the keywords: female athlete, postpartum, postpartum rehabilitation, and healthcare. Results: Our findings indicate that research on female athletes after childbirth most frequently highlights pelvic floor dysfunction. This condition in athletes most often includes urinary incontinence, pelvic organ prolapse, and pelvic pain. The International Olympic Committee recommends that the return to elite sports after childbirth be divided into three phases: recovery, rehabilitation with training, and competition. For a successful return, the athlete must collaborate effectively with coaches and healthcare professionals in each phase. Discussion and conclusion: This diploma thesis underscores the significance of a multidisciplinary approach and the need for developing guidelines for the treatment of postpartum athletes. At the level of sports policy, it would be necessary to provide social security for women after childbirth and facilitate their return to competitive sports. Due to the lack of existing practice and research, further investigation in this area is crucial.
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